Individual provider Active NPI

Sheryl J. Obernberger, NP

  • Family Nurse Practitioner
  • Friendship, WI
National Provider Identifier
1982770723
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2930 Issued in WI
Practice address
402 West Lake St.
Friendship, WI 53934
Phone
(608) 339-3331
NPI assigned
Nov 24, 2006
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 107952 WI
Family Nurse Practitioner 363LF0000X 2930 WI Primary

Addresses

Primary practice location

402 West Lake St.
Friendship, WI 53934

Mailing address

402 West Lake St.
P.O. Box 40
Friendship, WI 53934
Phone (608) 339-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000201 WI Practitioner - Nurse Practitioner 3779685326 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care of Wisconsin IncGroup PAC ID 8527977867, 19 clinicians

Practice addresses (Care Compare)

707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
107952WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Savior Healthcare, Inc. CurrentSince Jan 1, 2019 Accepting new patients
SSM Health Care of Wisconsin, Inc. CurrentSince Sep 8, 2020 Accepting new patients
Black River Memorial Hospital Inc CurrentSince Mar 1, 2022 Accepting new patients
Black River Health Inc CurrentSince Mar 1, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince May 14, 2006 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients
SSM Health Care of Wisconsin Inc Family CurrentSince Sep 8, 2020 Accepting new patients
Black River Health Inc Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

7153 Solutions Ctr
Chicago, IL 60677

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-3604

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

Interoperability endpoints

  • Direct secure messaging: sobernberger291091@direct.gundersenhealth.org
  • Direct secure messaging: sobernberger382130@direct-ehr-ssmhc.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1982770723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 WEST LAKE ST.",
            "address_2": "P.O. BOX 40",
            "city": "FRIENDSHIP",
            "state": "WI",
            "postal_code": "53934",
            "telephone_number": "608-339-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 WEST LAKE ST.",
            "city": "FRIENDSHIP",
            "state": "WI",
            "postal_code": "53934",
            "telephone_number": "608-339-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERNBERGER",
        "first_name": "SHERYL",
        "middle_name": "J.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "107952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendship, WI

Sources for this page

Verify at the official NPI Registry.